  <table width="676" border="0" cellpadding="3" cellspacing="0">
  <tr>
    <td colspan="4"><img src="/images/print/globelogo.png" alt="" width="120" height="50" border="0" /></td>
    <td align="right">Reference no.: <?php echo $application['ref_number'] ?></td>
  </tr>
  <tr>
  <td colspan="5" style="background-color:#00aeef;"><h1>EMPLOYEE CERTIFICATION LIST</h1></td>
  </tr>

	<tr>
	  <td colspan="5" valign="top" style="padding:10px 10px;">

      <p style="color:#000">
      	This document is to certify that the employees whose  names  are  included in the attached  list, are  regular  employees ("Employees")  of  ______________ ("Company") receiving  communication allowance or subsidy to cover their  telecommunication expenses for official business, hence, all benefits  and  privileges  accorded  by Globe Telecom, Inc. (“Globe”)  to Company for mobile  telecommunication subscriptions  may be extended to them.  Said  benefits  and  privileges however, will be made  available  to the  Employees on condition that  they remain employees of the Company. In the event  of  resignation, retirement  or termination of employment  of  any Employee, Company shall immediately inform Globe  in writing  of such fact and  Globe  may withdraw  the benefits  and privileges extended to such Employee.
It is understood that  each of the Employees shall be  solely responsible for  the obligations arising  from their respective  subscriptions to Globe mobile  telecommunication services.      </p>


<table width="650" border="0" align="left" cellpadding="0" cellspacing="0">
  <tr>
    <td width="431" height="40" align="left" valign="middle">
    <div style="border-bottom:1px solid #2f63af"></div>
    Name &amp; Signature of HR Authorized Signatory</td>
    <td width="219" height="40" align="center" valign="middle">
     <div style="border-bottom:1px solid #2f63af; width:140px; margin:0px auto"></div>
    Date</td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle">
    <div style="border-bottom:1px solid #2f63af;"></div>
    Company Name
    </td>
    <td height="40" align="left" valign="middle">&nbsp;</td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle">
     <div style="border-bottom:1px solid #2f63af"></div>
    Endorsed by:
    </td>
    <td height="40" align="left" valign="middle">&nbsp;</td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle">
     <div style="border-bottom:1px solid #2f63af"></div>
    Name &amp; Signature of Company Representative	</td>
    <td height="40" align="center" valign="middle">
     <div style="border-bottom:1px solid #2f63af; width:140px; margin:0px auto"></div>
    Date
    </td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle">
     <div style="border-bottom:1px solid #2f63af"></div>
    Company Name 	</td>
    <td height="40" align="left" valign="middle">&nbsp;</td>
  </tr>
  <tr>
    <td height="32" align="left" valign="top">

    IMPORTANT: Please provide photocopy of ID of HR Authorized Signatory</td>
    <td height="32" align="left" valign="top">&nbsp;</td>
  </tr>

</table>      </td>
	  </tr>
	<tr>
	  <td colspan="5" valign="top"  style="background-color:#00aeef;"><h1>SUBSCRIBER'S DECLARATION</h1></td>
	  </tr>
	<tr>
	  <td colspan="5" valign="top">

     <p style="color:#000; margin:1px 0px;"> I/We hereby confirm that the foregoing information is true and correct, and that the supporting documents attached hereto are genuine and authentic and voluntarily submitted by the company for the purpose of an application for a Globe Handyphone service.</p>

     <p style="color:#000;margin:8px 0px;">
     I/We the authorized representative/s of the company hereby authorize GLOBE TELECOM to obtain pertinent credit information from banks, credit card companies, and other financial institutions on the course of credit investigation of the company's application, and I/we hereby authorize the release of such information by the bank, credit card, and financial from which credit information is requested.     </p>

     <p style="color:#000;margin:8px 0px;">
     I/We hereby confirm that I/we have read and understood the Terms, Conditions and Conforme stated on the reverse side of this form and that the company shall comply with them and with any additional terms and conditions in any certificate required to be executed in connection with any particular GLOBE TELECOM promotions or plans</p>

<!-- Subscriber Declaration Corporate Individual -->
<?php if($type == 'ci'): ?>
<table width="676" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td style="background:#001ca8; padding:10px 0px 10px 10px">
    	<h2>For Corporate Individual</h2>
<table width="576" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    <td width="363" height="40" valign="bottom" style="background-color:#FFFFFF;padding-left:20px">AUTHORIZED SIGNATORY (signature over printed name)	</td>
    <td width="213" valign="bottom" style="background-color:#FFFFFF; border-left:2px solid #a3b4d9;padding-left:20px">Date</td>
  </tr>
</table>

    </td>
  </tr>
</table>
<!-- End of Subscriber Declaration Corporate Individual -->


<!-- Subscriber Declaration Corporate Managed -->
<?php elseif($type == 'cm'): ?>
<table width="676" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td style="background:#3658a1; padding:10px 0px 10px 10px">

    	<h2>For Corporate Managed</h2>
<table width="576" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    <td width="363" height="40" valign="bottom" style="background-color:#FFFFFF;padding-left:20px">AUTHORIZED SIGNATORY (signature over printed name)	</td>
    <td width="213" valign="bottom" style="background-color:#FFFFFF; border-left:2px solid #a3b4d9; padding-left:20px">Date</td>
  </tr>
</table>
<br/>
<table width="576" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    <td width="363" height="40" valign="bottom" style="background-color:#FFFFFF;padding-left:20px">AUTHORIZED SIGNATORY (signature over printed name)	</td>
    <td width="213" valign="bottom" style="background-color:#FFFFFF; border-left:2px solid #a3b4d9; padding-left:20px">Date</td>
  </tr>
</table>

    </td>
  </tr>
</table>
<!-- End of Subscriber Declaration Corporate Managed -->
<?php endif; ?>



     </td>
	  </tr>
	</table>